Trump’s Executive Order on Preexisting Conditions Lacks Teeth, Experts Say
President Donald Trump’s executive order says that people with preexisting conditions can get affordable insurance. But it doesn’t explain how.
Insurance
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Promises Kept? On Health Care, Trump’s Claims of ‘Monumental Steps’ Don’t Add Up
The president entered office seeking to overturn the Affordable Care Act, revamp Medicaid and drive down prescription drug prices, among other things. He’s hit some stone walls.
By Julie Rovner and Phil Galewitz -
Trump Approves Final Plan to Import Drugs From Canada ‘for a Fraction of the Price’
The announcement clears the way for Florida and other states to implement a program bringing medications across the border to save money. The effort is strongly opposed by drugmakers and the Canadian government.
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Heartbreaking Bills, Lawsuit and Bankruptcy — Even With Insurance
With health insurance that can leave him on the hook for more than a quarter of his salary every year, a Kentucky essential worker who has heart disease is one of millions of Americans who are functionally uninsured. At only 31, he has already been through bankruptcy and being sued by his hospital. This year, he faced a bill for more than $10,000.
By Laura Ungar -
KHN’s ‘What the Health?’: ACA in Peril With Ginsburg’s Seat in Play
The death of Supreme Court Justice Ruth Bader Ginsburg is giving new life to the latest constitutional challenge to the Affordable Care Act. It also places anti-abortion activists on the cusp of a court majority large enough to ensure the rollback of the right to abortion and, possibly, some types of birth control. Meanwhile, Health and Human Services Secretary Alex Azar tries to centralize power at the sprawling department plagued by miscommunications and scandals. Anna Edney of Bloomberg News, Kimberly Leonard of Business Insider and Mary Ellen McIntire of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and more. Plus, Rovner interviews KHN’s Sarah Jane Tribble about her new podcast, “Where It Hurts,” debuting Sept. 29.
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KHN’s ‘What the Health?’: It’s Scandal Week
President Donald Trump this week issued a prescription drug pricing order unlikely to lower drug prices, and he contradicted comments by his director of the Centers for Disease Control and Prevention on the need for mask-wearing and predictions for vaccine availability. Meanwhile, scandals erupted at the CDC, the Centers for Medicare & Medicaid Services and the Food and Drug Administration. And the number of people without health insurance grew in 2019, reported the Census Bureau, even while the economy soared. Alice Miranda Ollstein of Politico, Tami Luhby of CNN and Sarah Karlin-Smith of the Pink Sheet join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.
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Lights, Camera, No Action: Insurance Woes Beset Entertainment Industry Workers
Many actors, directors, backstage workers and others in the entertainment industry are often eligible for health coverage through their unions, a model that some experts promote for other gig workers. But coverage is determined by past employment, and many of these professionals aren’t working because of the coronavirus.
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With No Legal Guardrails for Patients, Ambulances Drive Surprise Medical Billing
Studies show that at least half of ground ambulance rides across the nation leave patients with “surprise” medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what’s known as balance billing has largely ignored ambulance costs.
By Laura Ungar -
Obamacare Co-Ops Down From 23 to Final ‘3 Little Miracles’
Once there were 23 of these nonprofit plans across 26 states; in January there will be only three, serving Maine, Wisconsin, Montana, Idaho and Wyoming.
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‘An Arm and a Leg’: She Tangled With Health Insurers for 25 Years — And Loved It
When people had a health insurance headache, these two words were a relief: “Call Barbara.” No problem was too big, or too small, she’d fix it.
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COVID + Influenza: This Is a Good Year to Get a Flu Shot, Experts Advise
A robust sign-up for flu shots could help head off a nightmare scenario in the coming winter of hospitals stuffed with both COVID-19 patients and those suffering from severe effects of influenza. Plus, no one knows how flu and COVID might interact if a patient got both.
By Julie Appleby and Michelle Andrews -
Opposition to Obamacare Becomes Political Liability for GOP Incumbents
Control of the U.S. Senate this election hinges on a handful of vulnerable GOP incumbents. Their opposition to the Affordable Care Act could be their undoing.
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KHN’s ‘What the Health?’ Replay: What’s at Stake When High Court Hears ACA Case
We’re off this week, but the Affordable Care Act is in the news, as the GOP holds its virtual convention and the Supreme Court recently scheduled arguments in a case challenging the law. So we’re reposting our ACA 10th anniversary episode from March. For this special episode of “What the Health?” host Julie Rovner interviews Kathleen Sebelius, who was President Barack Obama’s secretary of Health and Human Services when the law was passed. Then Rovner, Joanne Kenen of Politico and Mary Agnes Carey of KHN discuss the law’s history, impact and prospects for the future.
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Republican Convention, Day 1: A Campaign-Style Trump Speech and More
Republicans kicked off the first day of their convention with a wide-ranging speech by President Donald Trump in Charlotte, North Carolina.
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Veteran’s Appendectomy Launches Excruciating Months-Long Battle Over Bill
An uninsured Colorado man owed $80,232 after two surgeries — the second to correct a complication from the first. After months of negotiating with the hospital, he still owes far more than most insurers would pay for the surgery he had.
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Democratic Convention, Night 4: ‘Facts Over Fiction’ in Biden’s Speech
The impact of the novel coronavirus, and the current administration's response to it, were central themes in Joe Biden's presidential nomination acceptance speech.
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KHN’s ‘What the Health?’: Democrats in Array (For Now)
In a highly produced, made-for-TV political convention, Democrats papered over their differences on a variety of issues, including health care, to show a unified front to defeat President Donald Trump in November. Meanwhile, COVID-19 continues to complicate efforts to get students back to school, and a federal judge blocks the Trump administration’s efforts to eliminate anti-discrimination protections for transgender people. Margot Sanger-Katz of The New York Times, Paige Winfield Cunningham of The Washington Post and Shefali Luthra of The 19th join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health stories of the week they think you should read, too.
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GOP Senate Ad Misrepresents Montana Governor’s Stance
The race between Steve Bullock and Steve Daines reflects a trend in campaigns nationwide. Republicans often paint Democrats as left of the general public and health care has often been one of the issues the GOP highlights in that effort. In this case, the National Republican Senatorial Committee is leaping to conclusions with its claims.
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‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds
Pennsylvania and New Jersey are leaving the federal marketplace this fall to save money and will start their own insurance exchanges. Kentucky, New Mexico, Virginia and Maine are looking to join them in 2021 or beyond.
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Primary Care Doctors Look at Payment Overhaul After Pandemic Disruption
Many physicians were forced to close their offices — or at least see only emergency cases — when the pandemic struck. Because they are generally paid piecemeal for every service, they suffered big losses, leading to layoffs and pay cuts. Some doctors say they now are looking to overhaul the way they get paid.